Building a Portal for Seniors

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Building a Portal for Seniors Falls Prevention
The Alberta Experience

• Lynda McPhee
• Education Coordinator, ACICR
• lynda.mcphee_at_ualberta.ca
• 780-492-9768

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Alberta Centre for Injury Control Research

• Vision an injury-free Alberta in which to live,
  work, and play
• Mission to reduce the societal and economic
  burden of injuries in Alberta by building
  partnerships, promoting effective strategies and
  sharing knowledge

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www.findingbalancealberta.ca
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The Beginning.

• On Solid Ground Falls Prevention Conference 2006
• Establishment of the Alberta Seniors Falls
  Prevention Network 2007

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• Alberta Seniors Falls Prevention Network
• Information Sharing
• Falls resources
• Alberta update
• Upcoming events/educational opportunities
• From the literature
• Members corner
• Teleconferences

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Whats in the Literature?

• Prevention (Community)
• Prevention (Acute)
• Prevention (Residential Care)
• Prevention (Home Care)
• Prevention (General)
• Staff Capacity Building

• Exercises
• Medication
• Health Management
• Risk Assessment Tools
• Risk Factors
• Miscellaneous

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Falls Data and Resources
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• Promotion of the Network
• Word of Mouth
• Education sessions
• CFPC
• Finding Balance

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Membership Work Setting November 2007
Acute Care
30
Continuing
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Care
20
Rehabilitation
15
Injury
Prevention
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Health
Promotion
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Other
0
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Membership Work Setting September 2009
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Membership Survey September 2009
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Membership Survey September 2009
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Membership Survey September 2009
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Membership Survey September 2009
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• Ideal Alberta Network
• Overarching framework /Clearinghouse/ Information
  Bank for communication, resources, standardized
  tools, educational materials, consistent
  messaging, best practice
• Public Awareness / Social Marketing campaign
• Central website for public and professionals
• Advocacy / Lobby for project dollars

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• Lessons Learned/Future Direction
• Continue to grow the membership
• Develop closer relationships with
  champions/professional associations
• Enhance two way exchange of information
• Face to face meeting/planning sessions
• Explore establishment of communities of practice
• Support the development of a provincial falls
  prevention strategy

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• Partnership
• Alberta Centre for Injury Control Research
• Alberta Medical Association
• Alberta Health and Wellness
• Additional sponsors
• Alberta Physiotherapy Association
• Alberta Therapeutic Recreation Association
• Alberta Blue Cross
• Canadian Patient Safety
• College and Association of Registered Nurses of
  Alberta
• College of Licensed Practical Nurses of Albertan
• CARNA
• Global TV
• McCallum Printing Group

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Advisory Committee

• Representatives from 9 former Health Regions
• AB Pharmacists Association
• AB College of Physiotherapists
• College Association of RN of Alberta
• AB Centre for Active Living
• AB College of Occupational Therapists
• AB Therapeutic Recreation Association

• AB Chapter Dietitians of Canada
• Osteoporosis Centres and AB Chapter
• Seniors/ Seniors Association of Greater Edmonton
• Health Link Alberta
• Primary Care Networks
• AB Seniors and Community Supports
• AB Fitness Leaders

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Campaign values

• Multiyear campaign
• Evidence-based consistent messaging
• Connect seniors to local supports/programs
• Stakeholder support and participation
• Evaluation

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Campaign elements

• Strategic provincial communications plan
• Proclamation of Seniors Falls Prevention Month
• Purchased and earned media
• Information posters and flyers
• Campaign website
• Local Communications Support
• Spokespeople
• Presentations
• Displays

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Key messages
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New message
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Website www.findingbalancealberta.ca
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InformAlberta
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Practitioner page

• Finding Balance Falls Prevention Network
• Finding Balance Tool Kit
• Resources campaign and falls
• Sample proclamations
• Falls prevention articles
• Media relations
• Local activities/Setting up a display
• Presentations
• Practitioner Algorithms
• Algorithm for Primary Care Physicians
• Multidisciplinary Algorithm

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Algorithm
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Algorithm
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Algorithm
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Algorithm
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• Campaign Results 2010
• An increase in
• proportion of seniors recalling the campaign was
  about the prevention of falls
• (39 in 2010 vs.16 2009)
• proportion of seniors who are concerned (55 in
  2010 vs. 45 in 2008) or very concerned (27 in
  2010 vs. 17 in 2008) about having a fall
• Seniors still more concerned about friend or
  family member having a bad fall instead of
  themselves having a bad fall (74 vs. 55)

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• Campaign Results 2010
• An increase in
• those reported the leading cause of injury
  hospitalizations was due to falls
• (59 in 2010 vs. 44 in 2008)
• those that reported they are currently taking
  measures to prevent falls
• (72 in 2010 vs. 54 in 2008)
• those reporting keep active as a key way to
  reduce the risk of falls
• (29 in 2010 vs.17 in 2008)
• those reporting they review their medications
  annually (72 in 2010 vs. 59 in 2008)

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• Campaign results 2010
• Municipal proclamations
• 156 communities (138 communities in 2009)
• Earned media stories
• 31 stories (75 stories in 2009)
• Bought media
• 2.54 for every dollar spent (2.05 in 2009)
• Website
• 982 visits, 246 average time (1104 visits, 252
  time)

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Lessons Learned /Future Directions

• Partnership with AMA strengthened profile and
  credibility
• Timing was right
• Cant control the media and uptake
• Ongoing relationship building and new
  partnerships
• Sponsorship
• Telephone vs. Online survey
• Expand outside Alberta

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Community Injury Control FundProjects

• Coordinated by ACICR
• Grants from 4000 - 15,000
• Funded 34 falls prevention programs
• Preventing Falls Through Physical Activity A
  Guide for People Working with Older Adults
• A Million Messages
• Pre-Hospital Management of the Senior Falls
  Patient

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www.active.living_at_ualberta.ca
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A Million Messages
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A Million Messages
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• EMS Falls Prevention Project
• Goal increase seniors access and utilization
  of existing fall prevention programs/resources
• Establish a referral network that would accept
  referrals from paramedics
• Identify at-risk fallers using a standardized
  process
• Refer seniors who are at risk of a fall or who
  had fallen

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• It takes a village of stakeholders working
  together to prevent falls and fall risk, tasks
  that no one stakeholder can accomplish alone.
• Ganz, Alkema Wu, 2008

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Questions??
lynda.mcphee_at_ualberta.ca
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